Sandra Brown Email and Phone Number

Beacon Care acquired by Collage Nursing and HomeCare Partners LLC 8/1/24*Responsible for the management, evaluation and implementation of AR processes*Create/Maintain dashboard to track progress against Weekly, Quarterly & Annual goals*Identify gaps within incoming cash flow*Cash applications*Reporting/Statistics*Claims Management

*Responsible for the management, evaluation and implementation of AR processes*Create/Maintain dashboard to track progress against Weekly, Quarterly & Annual goals*Identify gaps within incoming cash flow*Cash applications*Reporting/Statistics*Claims Management

•Credit Card/ACH Payment Processing •Private Pay Client Invoicing/Collections (GA & NY)•Long-Term Care Claims •GA & NY Medicaid Claims Resolve Integration Error Log Issues for both Corporate and satellite offices.

• Daily/Monthly reconciliation of all patient/insurance payments.• Posted cash/checks/credit card payments via MedHost system.• Applied contractual adjustments via MedHost system.• Created and reviewed sequel reports.• Reviewed and updated Cash logs daily for main (1) and affiliated hospitals (4).• Responded to CFOs (all Facilities) requests/inquiries regarding Cash Log reports.

• Restructured A/R process which resulted in 365-day> accounts being resolved in 5 months by thoroughly researching claim denials and bolstering collection rates.• Researched Short-Paid Workers Compensation accounts and filed necessary appeals.• Submitted CMS-1500 forms utilizing EZ Claims Advanced 9 Release 5 billing software.• Submitted UB-04 forms utilizing Generations idb-sys system for Workers Compensation patients.• Entered patient data, including all applicable diagnosis and CPT codes, into Generations idb-sys system for importation into QuickBooks Professional 14.0 software system for invoice creation.• Monitored Caregivers billable hours via Generations software system.

(*Contract Position via Durham Staffing Agency)• Created primary and secondary Emergency Room/Hospital claims for various states (Medicare, Medicaid and Commercial) by entering patient data, including all applicable diagnosis and procedural codes, into Centricity system for billing purposes.• Reviewed and resolved electronic claim denials via Emdeon clearinghouse system.• Researched denial Explanation of Benefits and filed necessary appeals.

• Created Hospital and Physician Office charge entries for multiple physicians.• Researched and resolved any outstanding Medicare and Medicaid A/R.• Submitted electronic claims utilizing Nextgen and Navinet systems.

• Supervised staff of 10 employees.• Restructured A/R department and created policies/procedures which allowed a triple increase in revenue within 6 months.• Created charge entries for Urology patients utilizing Lytec system.• Created and monitored daily workflow processes for employees.• Audited employees accounts on a weekly basis.• Posted payments, adjustments and refunds.• Resolved escalated patient and/or doctor issues.

• Researched Managed Care, Commercial and Private Pay A/R reports and filed necessary appeals.• Resolved patient account inquiries.

• Supervised staff of 4 employees.• Monitored employee’s daily collection log sheets and requests for account write-offs/collections.• Researched Medicaid, Managed Care and Commercial A/R reports and filed necessary appeals.• Resolved patient account inquiries.